WESTERN PACIFIC TANG SOO DO
Application for Dan Promotion
 

 
All Cho Dan Bo and Dan members who wish to participate in an upcoming Dan Promotional Test must complete this application and receive approval prior to participation.
 
All Applications must be submitted a minimum of 3 months prior to the test date to be properly evaluated and approved for inclusion.
 
Dan Promotional candidate may also have to sign additional releases or waivers prior to testing.
 

 
Minimum Time in Grade Requirements
 
All candidates must meet the following minimum time in grade training and/or teaching hours requirements prior to applying for or being nominated for testing.
 
Cho Dan Bo -> Cho Dan:   1 year  (100 hours min)
Cho Dan      -> Ee Dan:     2 years (200 hours min)
Ee Dan        -> Sum Dan:  3 years (300 hours min)
Sum Dan     -> Sa Dan:     4 years (400 hours min)
 
Hours must be actual and not anecdotal. Training/Teaching records should be maintained for verifiable actual hours.
 

 

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Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


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Registration inquiries:
Master Brooks Matsuda
6630 Flamingo Way
Sacramento, CA 95828
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 PERSONAL INFORMATION
 

 
Breaks in Training since last promotion (3 months or longer)
Breaks in Training
 
Total Training hours since date of last promotion.
(Training hours: over 50% of your class attendance is training)
 
Total Teaching hours since date of last promotion.

 
PERSONAL TANG SOO DO BIO


 
Please tell us about your Tang Soo Do training
 
For example: 
  • When you began
  • Original Instructor
  • Current Instructor
  • Dojang(s)
  • How long you've been training
  • etc.
Please also provide a passport size photo 
 
Your Tang Soo Do Biography

 
HEALTH & FITNESS


 
Do you have any health issues or physical limitations which may hamper or exclude you from fully participating in the Dan Promotional Test?
 
Do you have any Health or Fitness Issues?
Health/Fitness Issues

 
WPTSD TESTING FEE
 

 
This is a Western Pacific Tang Soo Do ONLY fee for certification by the WPTSD.
 
This fee does not include any and all other fees or costs which my be applied by your instructor, dojang, or affiliated organization for participating in the Dan Promotional Test.
 
You have the option of making payment here on-line or in-person on or before the day of the event.
 
WPTSD TEST FEES
  

 

 
I, the above named candidate, agree to all of these Terms & Conditions as set forth below in order to participate in the upcoming Dan Promotional Test.

I agree that my participation in this event is completely voluntary. No claims against Western Pacific Tang Soo Do, its affiliates, Instructors, and facility shall be made for any and all injuries I may sustain while participating in this event.

I agree that the above information is correct and true and that if any pertinent information is determined to be false or this application is incomplete, I may be excluded from participation or promotion.

If candidate is under 18, please enter the parent or legal guardian's name below who is accepting these terms on your behalf.
Check this box to indicate that you have read and agree to all of the above terms & conditions
 
I am 18 years old or older